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Measuring and Improving Surgical Quality By Clifford Y. Ko,MD, MS, MSHS, FACS Over the past decade, the number of quality measurement programs — both mandatory and voluntary — has grown exponentially as hospitals respond to public and government demands for greater transparency and accountability and improved patient care. Many on the front lines of hospital quality improvement efforts may ...

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Trained nurse abstractors reviewed the records for evidence of hospital based adverse events in 11 surgical and 2 medical categories. This abstraction set was then compared to the ICD-9-CM coding assigned in the billing record. With the exception of postoperative myocardial infarction, less than 60% of other diagnoses had confirmatory clinical evidence. Furthermore, 30% of the medical and 19% ...

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Surgical quality in Veterans Affairs (VA) hospitals is measured by the VA Surgical Quality Improvement Program (VASQIP), 1 the Surgical Care Improvement Program (SCIP), 2 and the Patient Safety Indicators (PSIs). 3 Each approach has a different perspective on surgical quality and uses a different source of data. For example, the VASQIP evaluates 30-day postoperative morbidity and mortality ...

Measuring surgical quality: which measure should we trust?

Surgical quality in the VA is measured by the VA Surgical Quality Improvement Program (VASQIP), 1 the Surgical Care Improvement Program (SCIP), 2 and the Patient Safety Indicators (PSIs). 3 Each approach has a different perspective on surgical quality and uses a different source of data. For example, VASQIP evaluates 30-day postoperative morbidity and mortality outcomes among other parameters ...

surgical quality - Deutsch-Übersetzung – Linguee Wörterbuch

Sufficient bone depth and bone quality must be present for a successful anchoring of the implant in the bone The two-stage surgical procedure may be applied for patients with a bone depth of less than 3 mm, by using a modified surgical technique with for example a PTFE membrane However, the individual assessment of each patient candidate must be carefully done and the surgical procedure ...

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I read this article on the quality of surgical instruments and the finding that a substantial proportion were found to not meet quality standards. This may well be a reflection of where these surgical instruments are manufactured. A large number of surgical instruments are manufactured in the developing world; and in particular in Sialkot in Pakistan, which alone produces 25% of the world ...

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The Leapfrog Group, a coalition of large employers and healthcare purchasers, has issued perhaps the most visible set of surgical quality indicators for its value-based purchasing initiative. Although originally focused exclusively on structural measures, including volume standards, their current standards also include selected processes and risk-adjusted outcomes.

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In a 2018 article in the Annual Review of Medicine, surgeon Justin Dimick, a national leader in surgical outcomes research at the University of Michigan, and his colleague Andrew Ibrahim discuss the challenges of measuring surgical quality and offer some suggestions for better ways to accomplish that important task. We asked Dimick, currently working on an NIH-funded study of federal policies ...

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1 2 Specialist Work Undertaken • NHS Patient Safety Action Team London • Medicines and Healthcare products Regulatory Agency • NHS Supply Chain • University of Bedfordshire Peri-operative Critical Care Team. 1 3 The Beginning - Mayo Needle Holder. 1 4 Research Paper. Quality of surgical instruments T BROPHY¹, PD SRODON², C BRIGGS¹, P BARRY¹, J STEATHAM¹, MJ BIRCH¹ . Departments ...

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How best to measure surgical quality? comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. Robert R. Cima, Kandace A. Lackore, Sharon A. Nehring, Stephen D. Cassivi, John H. Donohue, Claude Deschamps ...

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A quality repair service is recommended to keep instruments working properly. It is also recommended to include preventive maintenance of all sharps. Refer to the instrument manufacturer’s instructions for use to determine if the instrument can be sterilized assembled. For example, laparoscopic forceps with inserts may need to be sterilized disassembled. Failure to do so could adversely ...

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Hospital readmissions are associated with higher resource utilization and worse patient outcomes. Causes of unplanned readmission to the hospital are multiple with some being better targets for intervention than others. To understand risk factors for surgical readmission and their incremental contribution to current Veterans Health Administration (VA) surgical quality assessment, the study ...

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Surgical complications take an immeasurable toll on our patients and their families. Some studies have found 3 percent to 27 percent of surgical patients suffer from a surgical adverse event. Often, we hear that these complications are inevitable—our patients are old, our patients are sick. Yet a substantial proportion (e.g., more than half in one study) are preventable. 1-3 . Between 2009 ...

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Quality measurement and performance improvement now are accepted uniformly as key strategies and responsibilities in the delivery of health care, 1 including in the management of gastrointestinal endoscopic services. Numerous metrics for quality performance by endoscopists have been adopted in recent years 2,3,4,5,6 and now are being updated for 2014.

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